Practice Final Exam

Convert the following. If the answer contains a decimal, round to the nearest hundredth.

1. 56 kg = _123.2____ lbs 6. 3 oz = __90____ mL

2. 500 mg = ___0.5___ g 7. 8 TBSP = _120_____ mL

3. 2 c = _480_____ mL 8. 13 tsp = ___65____ mL

4. 45 mL = __0.045 = 0.05____ L 9. 67.8 lbs = _30.82_____ kg

5. 4500 mcg = _4.5____ mg 10. 0.125 g = __125000_____ mcg

11. The physician orders 4 g of Lidocaine. The nurse has a 12% solution available. How many mL will the RN
administer?

4g/x = 12g/100 mL 400 = 12x x=33.3 mL

12. The nurse administers 200 mL of a 8 % solution. How many grams did the nurse administer?

x/200mL = 8g/100mL 1600 = 100x x=16g

13. Identify the strongest solution:

a. 1:110 b. 10:201 c. 1:300

14. Express the solution strengths as a ratio:

6 parts drug per 200 parts solution = 6:200

15. What is the generic name for the drug to the right?

Pantoprazole sodium

16. What is the trade name? Protonix

17. What is the dosage strength? 20 mg

18. What company manufactures the medication? Pfizer

19. How many tablets are in the container? 90 Tabs

20. The physician orders 40 mg of Protonix. How many tablets will the RN administer? 2 tabs

21. What is the dosage strength for metoprolol?

100 mg

18. What company manufactures the medication?

Caraco

19. How many tablets are in the container? 100 tablets

20. The physician orders 150 mg of metoprolol TID . How many tablets will the RN administer? 1.5 tabs

21. If the physician orders 150 mg of metoprolol TID, what is the total daily dose? 450 mg

22. The physician writes an order for Vancomycin 750mg/250 mL. The vial reads Vancomycin 1000 mg/100 mL.
How many mL of drug are needed? 750 mg/x = 1000 mg/100mL 1000x=75000 x=75mL
How much diluent needs to be added to get the correct concentration? 250mL-75mL= 175 mL

23. Lovenox 1 mg/kg. The patient weighs 175 pounds. Lovenox comes 100 mg/2 mL. How many mL will you
administer?
175# = 79.55 kg x 1mg/kg = 79.55mg
79.55 mg/x = 100 mg/2 mL
X= 1.59 mL

24. The recommended bolus dose of Heparin is 75 units/kg. The patient weighs 256 pounds. Heparin comes in 5000
units/ml vials. How many mL will the nurse administer?

256# = 116.36 kg x 75 units/kg = 8727 units

8727units/x = 5000units/1mL

X= 1.75mL

25. Amoxicillin 40 mg/kg/day divided in two equal doses. The patient weighs 176 pounds. Amoxicillin is available in
1.6g tablets. How many tablets should be given with each dose?

176# = 80 kg x 40mg/kg/day = 3200 mg/day divide by 2 (2 equal doses) = 1600 mg = 1.6 g per dose

1 tab

26. The recommended bolus dose of Pitocin is 25 units/kg. The patient weighs 212 pounds. Pitocin comes in 220
units/ml vials. How many mL will the nurse administer?

212# = 96.36kg x 25 units/kg = 2409 units

2409 units/x = 220 units/mL

X= 10.95.mL

27. Order: 1 grams Calcium chloride/280 mL. Vial reads 2g/6 mL. How many mL of diluent should be added to get the
desired concentration?
1g=3mL; 280 mL-3mL = 277mL

28. Order: 70 meq potassium chloride in 180 mL. Vial reads 100 meq/20 mL. How much diluents should be added to
get the desired concentration?

70/x = 100/2mL

x= 1.4 mL 180-1.4 = 178.6mL

29. Vial reads: “For IV administration, add 280 mL of normal saline.” Vial contains 4 grams of powder. Order: 1 gram IV.
How many mL will the nurse administer?

When you add 280 to the vial you have a concentration of 4g/280mL
1g/x = 4g/280
X= 70mL

30. Your patient has consumed the following: 8 oz of chicken broth (240mL), 4 oz of jello (120mL), ½ c. of coffee
(120mL)with 1 tbsp of cream (15mL), 6 oz of tea (180mL) with 2 tsp of cream (10mL). What is his intake?
685mL

31. You receive an order for digoxin 0.125 mg IVP daily for your patient with a rapid heart beat. The vial states 0.25
mg/mL. How many mL will you administer to your patient?
0.5mL

32. Your patient is very agitated and needs a dose of ativan IVP. Ativan comes in a vial 5 mg/2 mL. You dilute it with 8
mL. The MAR reads: Ativan 2 mg IVP q 6 PRN for agitation. How much volume will you administer?
5mg/10mL = 2mg/x

X= 4mL

The dosage range for Cefazolin is 50-60 mg/kg/day divided in 3 equal doses. The patient weighs 80 pounds.

33. What is the lower daily dosage range? 1818 mg/day

34. What is the upper daily dosage range? 2181.6 mg/day

35. If a physician orders 650 mg TID is that an acceptable dose? yes (650 mg x 3 = 1950mg)

36. If the physician orders 625 mg BID is that an acceptable dose? No (625 mg x 2 = 1250 mg)

The dosage range for a medication is 0.1-0.15 mg/kg/day in two divided doses. The patient weighs 15 pounds.

37. What is the lower daily dose?

6.82 x 0.1 = 0.682mg = 682 mcg

38. What is the upper daily dose?

1.023 mg = 1023 mcg

39. If a physician orders 500 mcg BID is that an acceptable dose? YES

The dosage range for a medication is 1.5-2.5 mg/m2/day. The patient weighs 17.8 pounds and is 24 inches tall.

40. What is the lower daily dose?

BSA = 0.37m2

0.56mg

41. What is the higher daily dose?

0.925 mg
42. The medication comes in a liquid format with a concentration of 250 mcg/mL. If a physician orders 1 mL TID is that
an acceptable dose?

YES

1 mL= 250 mcg x 3 (TID) = 750 mcg/day = 0.75mg/day

43. What is the BSA of a patient who is 6’3” and weighs 125 kg?
75 inches, 275#
BSA = 2.57m2

List the components and % strengths of the following IV solutions:

44. D5.45 with 20 KCl
5% Dextrose, 0.45% NaCl solution with 20mEq of potassium chloride

45. D5 1/2NS
5% Dextrose, 0.45% NaCl solution

Calculate the gtt/min of the following: Round to the nearest whole number

46. 0.9 NS at 100 mL/hr using 10gtt/mL tubing

17gtt/min

47. 0.9 NS at 225 mL/hr using 20gtt/mL tubing

75gtt/min

48. Infuse 1 liter over 12 hours using 10 gtt/mL tubing

14gtt/min

49. Infuse 300 mL over 30 minutes using 15 gtt/mL tubing

150gtt/min

Write the answers in military time.

50. If a one liter bag is hung at 1030 and is to infuse over 8 hours, at what time will it be complete? 1830

51. An infusion starts at 2230 and is to run for 4 hours, what time will it be complete? 0230

52. If one liter is to run at a rate of 120 ml/hr, what is the infusion time? 8 hours 20 minutes

53. An IV medication of 250 mL is to run at a rate of 80 mL per hour. The infusion started at 2130, what time will it be
complete? 0037

54. Physician Order: Given a 500mL bolus of 0.9 NS over one hour then run the remainder of the liter in over 6
hours. If the bolus is started at 1130, what time will the infusion be complete? 1830
55. An IV of one liter was scheduled to run in 10 hours. After 5 hours, only 300 mL has infused. The tubing is
10 gtt/min. Recalculate the gtt rate for the remaining solution.
700 mL left in bag, 5 hours left = 700/5 = 140ml/hr = 23gtt/min

Choose the highest number.

56 0.1 0.21 0.0902

57. 0.153 0.122 0.005

58. 0.03 0.217 0.154

59. The nurse is giving 1.8 mL of Erythromycin. The vial reads 250 mg/5mL. What is the total dose given?

90 mg

Write the appropriate abbreviation:

60. milligram __mg_________

61. Kilogram _____kg____________

62. Microgram ___mcg__________

63. millimeter ___mm_____________

64. milliequivalent___mEq_________________

Write the following numerals in decimal form.

65. eight hundredths of a mg _____0.08mg____________________

66. four hundredth of a mg ______0.04mg_____________________

67. four and eighty-two hundredths of a milligram ____4.82mg_________________

68. MD Order: Penicillin 400 mg over 30 minutes IVPB.

2 mg/mL Penicillin
__400______ mL/Hr
400 mg/200 mL
Rate = 200ml/0.5hrs

4 mL 120 mg
69. MD Order: Solu-Cortef 60 mg IVP q 8 hours
Solu-Cortef
__2____ mL Hydrocortisone sodium
For injection

70. MD Order: 80 meq of Potassium IVPB Potassium Chloride

Standard Rate: 10 meq/hr 80 meq/160 mL
Concentration 0.5 meq/mL
___20____ mL/hr
Time = volume(Dose)/Rate
T=80mEq/10mEq = 8 hours
160mL/8hrs = 20 ml/hr
71. You need to give 3 mg of Lopressor IVP. The vial reads 5 mg/2ml. How many mL will you administer?

1.2 mL

72. Your patient’s IV antibiotic is due. The label reads Vancomycin 1 gm/280 ml. The rate at which you need to run the
Vancomycin is 200 mg/hr. At what rate will you program the IV pump?

56ml/hr

73. Your patient’s potassium is low at 2.5 meq. The physician orders an IV infusion of potassium to go in 10 meq/hr.
The potassium bag is 80 meq/500 ml. At what rate will you program the IV pump?

62.5ml/hr

74. The physician orders Dopamine at 5 mcg/kg/min. The patient weighs 124 pounds and the bag reads 400 mg/250
mL. What rate in mL/hr will you run the pump?
10.57 ml/hr

75. MD Order: Primaxin 500 mg IVPB over 40 minutes. Label reads: Primaxin 500 mg in 60 mL of D5W

__90_____ mL/hr

76. Physician Order: 1L of 0.9 NS at 8 hour rate. You hang a new bag at 1800. At what time will you need to hang a new
bag? 0200

77. Physician Order: 0.9 NS 500 mL bolus over one hour, then 125 ml/hr for the remaining 500 mL. You start the bolus
at 1400. At what time will you need to hang a new bag? 1900